The resident, identified in the inspection report as R4, is cognitively intact.
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Both decisions were made by the same facility.
The first incident happened on December 24, 2025.
The violation was assigned a scope and severity level of B, meaning inspectors identified it as isolated and found no actual harm to residents.
Bread in the bread storage area.
Licensed Vocational Nurse 4 acknowledged the bag was on the floor.
She had Alzheimer's disease, age-related osteoporosis with fractures, and anxiety.
The order did not cover daytime use.
None of that, inspectors concluded, was happening effectively.
Inspectors concluded the answer, for at least a few residents, was no.
Her care plan, revised in late February 2026, flagged her as at risk for rehospitalization due to chest pain, shortness of breath, and acute pneumonia.
Inspectors assigned the violation a scope and severity level of D, meaning the problem was isolated and no resident was actually harmed.